Individual
GLEN ALAN STONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS LMT
Contact information
Practice address
100 EAST BROAWAY ST, OVIEDO, FL 32765
(407) 365-1355
Mailing address
312 GRAHAM AVE, OVIEDO, FL 32765-9723
(407) 365-1355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA33876
MASSAGE THERAPY LICENSE
FL
Enumeration date
07/03/2008
Last updated
07/03/2008
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